The old man " falls down in Palestine " What first aid is it? Rest assured about _ old man's first aid of network of medicine garden in _'s first aid

The old man " falls down in Palestine " What first aid is it? Rest assured about _ old man's first aid of network of medicine garden in _'s first aid

" fall down in Palestine " Called temple lower jaw joint dislocation, it in the medical terminology
Happen to the middle-aged and elderly people more. It is the condyle of the inferior maxilla that slips out the joint suddenly, can't reset by oneself. Can happen on the single side, can also happen on dual sides. If there are old men at home to appear" Fall down in Palestine " Situation let's last the ones appropriate first aid method until family want,it last agony of patient!
" fall down in Palestine " And then should reset in time, reset, restrain the lower jaw from moving about. Before resetting, the skill person should be prepared thought well by the patient, spirit should not be tense, muscles should be relaxed, if necessary, can give sedative before resetting. It is that dual sides or single side dislocate that two thumbs are clear, in order to coordinate and exert oneself while resetting. The commonly used tactics reset and reset three kinds of laws in the mouth among the law, jaw outside the law, mouth.
(1) , the law outside the mouth:
Patient and skill person's body posture and law in the mouth. While resetting, two thumbs of skill person put the reason before patient two protrude from the condyle below the zygomatic arch and dash for ward, namely ShiShimonoseki cave, then exert oneself to dash for ward the condyle below and push. The patient feels at this moment lower jaw is tingle, the skill person holds two lower jaw angles with the food of the dual tactics, middle finger at the same time, mean with ring and little finger of toe ask the intersection of lower jaw and the intersection of body and bottom flange, above mean, cooperate, push the intersection of lower jaw and corner and the intersection of lower jaw and body department forward each, the condyle can be slipped into to dash for ward glenoidly and must be reset at this moment. The advantage of this law is a danger without thumb of person who bites skill, do not need too large one according to the pressure amount.
(2) , the law in the mouth:
Patient's end seat (but the head is close to the wall) ,Lower jaw the intersection of tooth and position to shut surface should lower than the intersection of tomb person and elbow joint level when the flagging arms. Skill person place oneself in patient, two thumb stretch in the entry with gauze, put, grind one's teeth, shut on the surface in lower jaw behind as much as possible, other fingers hold the bottom flange of body department of lower jaw. Thumb pigeonhole inferior maxilla downwards reset, strength increase gradually, push away at the the intersection of chin and slow one other finger, when the condyle is moved under the joint level suddenly, promote backward gently, the condyle can be slipped into to dash for ward glenoidly and must be reset at this moment. Can hear clear and melodious ball noise when it is glenoid to go back in the coaster sometimes. While resetting soon and closing the jaw, skill's person thumb should slip to the oral cavity vestibule of side of cheek rapidly, in order to avoid biting. When resetting difficulty at the same time on both sides, can reset one side first, and then reset the other side.
(3) , the resetting law among the jaw:
Patient's body posture and above-mentioned. Such as resetting the right side, the skill person stands behind right, the skill person sits in the left front of the patient while resetting the left side, left palm and finger ask hold chin portion, if right hand hold pen type, one round soft stick (about 5~10) Put room shut on the surface in grind one's teeth from head to foot finally. Reset, left hand put strength in an position, ask on chin portion, upturn it, dash for ward, move to certain extent downwards as condyle, will feel lower jaw car is movable but unstable among the left palm. At this moment, right hand take advantage of tendency rotate soft stick, ahead, ask chin portion make condyle slip into glenoid suddenly backward at the same time rapidly. Took sticks out immediately, after one side reset, and then reset the other side.
|